| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| 99213 |
Office or other outpatient visit for the evaluation and management of an established patient, low complexity |
6,189 |
2,113 |
$399K |
| 99214 |
Office or other outpatient visit for the evaluation and management of an established patient, moderate complexity |
1,286 |
718 |
$117K |
| 95165 |
Professional services for the supervision of preparation and provision of antigens for allergen immunotherapy, multiple dose vials |
197 |
193 |
$73K |
| 99215 |
Prolong outpt/office vis |
523 |
306 |
$66K |
| G0408 |
Follow-up inpatient consultation, complex, physicians typically spend 35 minutes communicating with the patient via telehealth |
433 |
277 |
$39K |
| 98928 |
|
403 |
235 |
$25K |
| 95923 |
|
173 |
173 |
$15K |
| L0484 |
Tlso, triplanar control, two piece rigid plastic shell without interface liner, with multiple straps and closures, posterior extends from sacrococcygeal junction and terminates just inferior to scapular spine, anterior extends from symphysis pubis to sternal notch, lateral strength is enhanced by overlapping plastic, restricts gross trunk motion in the sagittal, coronal, and transverse planes, includes a carved plaster or cad-cam model, custom fabricated |
22 |
22 |
$14K |
| G0397 |
Alcohol and/or substance (other than tobacco) misuse structured assessment (e.g., audit, dast), and intervention, greater than 30 minutes |
254 |
241 |
$12K |
| 80305 |
|
1,944 |
1,136 |
$10K |
| G0426 |
Telehealth consultation, emergency department or initial inpatient, typically 50 minutes communicating with the patient via telehealth |
71 |
71 |
$8K |
| 95924 |
|
87 |
87 |
$8K |
| 99443 |
|
55 |
55 |
$4K |
| 90792 |
Psychiatric diagnostic evaluation with medical services |
30 |
30 |
$4K |
| 81002 |
|
1,740 |
859 |
$3K |
| 99407 |
|
94 |
84 |
$2K |
| G0407 |
Follow-up inpatient consultation, intermediate, physicians typically spend 25 minutes communicating with the patient via telehealth |
26 |
26 |
$2K |
| 94060 |
|
31 |
29 |
$1K |
| 94016 |
|
31 |
29 |
$414.40 |
| 97032 |
|
28 |
28 |
$363.42 |
| 81003 |
|
35 |
33 |
$64.00 |
| 20552 |
|
12 |
12 |
$50.00 |
| 76800 |
|
15 |
15 |
$0.00 |
| 94010 |
|
31 |
29 |
$0.00 |
| 76700 |
Ultrasound, abdominal, real time with image documentation; complete |
17 |
17 |
$0.00 |
| 94726 |
|
31 |
29 |
$0.00 |
| 95913 |
|
25 |
24 |
$0.00 |
| G9584 |
Patient evaluated for risk of misuse of opiates by using a brief validated instrument (e.g., opioid risk tool, soapp-r) or patient interviewed at least once during opioid therapy |
12 |
12 |
$0.00 |
| 93975 |
|
17 |
17 |
$0.00 |
| 97039 |
|
28 |
28 |
$0.00 |
| 94729 |
|
31 |
29 |
$0.00 |